The nurse is caring for a client who had a near-drowning incident in a lake. Which action will the nurse take to monitor for possible complications?
a. Assess the client's temperature every 4 hours.
b. Check the client's blood glucose level before meals.
c. Assess the client's bowel sounds three times daily.
d. Check the client's skin for petechiae daily.
A
Chemicals, algae, microbes, sand, and mud found in lake water put the client at risk for develop-ing a lung infection. The client's temperature should be assessed every 4 hours. A near-drowning victim will not be at risk for glucose or bowel complications. Assessing for petechiae is not ne-cessary.
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Joyce, a 17-year-old high school student, has failed to gain weight in the first trimester of pregnancy. She avoids eye contact at her monthly visit and complains of fatigue. Joyce should be assessed for:
A) PIH B) Gestational diabetes C) Depression D) Hydatiform mole
The nurse cannot advance the small-bore intestinal feeding tube into the patient's oropharynx. What nursing action will facilitate tube advancement without complications?
a. Attempt to insert the tube into the other naris. b. Advance the stylet and then thread the tube over it. c. Remove the stylet, check it for kinks, and reinsert it. d. Use another stylet to move the tube into position.
The nurse manager is preparing a staff education program about sexual harassment. Which of the following interventions by the nurse manager would be the primary way to reduce or avoid organizational costs associated with sexual harassment?
1. Discuss the many forms of sexual harassment. 2. Discuss reporting procedures for sexual harassment. 3. Discuss reactions and behaviors that can result in victimization. 4. Target only those accused of sexual harassment to discuss disciplinary actions.
Systems of healing with emphasis on client responsibility, client education, disease prevention, or natural substances that stimulate a person's self-healing capacity are components of which of the following? (Select all that apply.)
1. Naturopathic medicine 2. Homeopathic medicine 3. Aromatherapy 4. Chiropractic